CHAPTER 3 PCOS EXAM QUESTIONS
AND ANSWERS
PCOS cycle: - ANSWER-1. insulin resistance
2. high LH, high androgen
3. adipose cells make estrone
4. low FSH, no estrogen
5. no ovulation or menstruation
6. cystic formation or follicles
cause of high androgen: - ANSWER-High LH:
- more theca cells in ovary
- more testosterone
Low FSH:
- fewer granulosa cells (convert testosterone to estrogen) in ovary
- lower estrogen
what is PCOS? what percent of women have it? - ANSWER-polycystic ovary syndrome
- 5-10%
- leading cause of female infertility
what is one of the main factors of PCOS? - ANSWER-insulin resistance
- could be the cause? no one is sue
hirsutism:
what is it and what is it caused by? - ANSWER-excess hair growth on the face
- high blood levels of androgens
possible causes of PCOS: - ANSWER-- insulin resistance
- genetic component
- environment-gene interactions
what are women with PCOS at increased risk for? - ANSWER-- spontaneous abortions
- gestational/type 2 diabetes
- hypertension
- cardiovascular disease
primary goal in treatment: - ANSWER-increase insulin sensitivity
how can you increase insulin sensitivity? - ANSWER-- insulin sensitizing drugs (ex.
metformin)
what is the preferred first-line treatment? - ANSWER-dietary modification, weight loss,
and exercise
AND ANSWERS
PCOS cycle: - ANSWER-1. insulin resistance
2. high LH, high androgen
3. adipose cells make estrone
4. low FSH, no estrogen
5. no ovulation or menstruation
6. cystic formation or follicles
cause of high androgen: - ANSWER-High LH:
- more theca cells in ovary
- more testosterone
Low FSH:
- fewer granulosa cells (convert testosterone to estrogen) in ovary
- lower estrogen
what is PCOS? what percent of women have it? - ANSWER-polycystic ovary syndrome
- 5-10%
- leading cause of female infertility
what is one of the main factors of PCOS? - ANSWER-insulin resistance
- could be the cause? no one is sue
hirsutism:
what is it and what is it caused by? - ANSWER-excess hair growth on the face
- high blood levels of androgens
possible causes of PCOS: - ANSWER-- insulin resistance
- genetic component
- environment-gene interactions
what are women with PCOS at increased risk for? - ANSWER-- spontaneous abortions
- gestational/type 2 diabetes
- hypertension
- cardiovascular disease
primary goal in treatment: - ANSWER-increase insulin sensitivity
how can you increase insulin sensitivity? - ANSWER-- insulin sensitizing drugs (ex.
metformin)
what is the preferred first-line treatment? - ANSWER-dietary modification, weight loss,
and exercise